The effect of cold needle on the development of pain and ecchymosis in subcutaneous heparin injection in adults: a prospective, randomised controlled study


Kaplan A., Kaplan Ö., Yüceler Kaçmaz H., Tosun G. N., Dal F.

Irish Journal of Medical Science, cilt.194, sa.5, ss.1787-1795, 2025 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 194 Sayı: 5
  • Basım Tarihi: 2025
  • Doi Numarası: 10.1007/s11845-025-04014-2
  • Dergi Adı: Irish Journal of Medical Science
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Biotechnology Research Abstracts, CAB Abstracts
  • Sayfa Sayıları: ss.1787-1795
  • Anahtar Kelimeler: Cold therapy, Ecchymosis, Injection satisfaction, Pain, Subcutaneous injection
  • Kayseri Üniversitesi Adresli: Evet

Özet

Background: Subcutaneous injection is a practice frequently used by nurses and may result in complications. Aim: The aim of this study was to evaluate the effect of cold needle on pain, injection satisfaction and ecchymosis development in subcutaneous heparin injection. Methods: The study was conducted as a prospective, parallel-group, randomised controlled study with single-blind design. Participants were randomly divided into two groups as chilled needle group (n = 30) and control group (standard needle group) (n = 30). Subcutaneous injections were given to the intervention group with a chilled needle at 0–2 °C and to the control group with a needle stored at room temperature. Patients were evaluated for ecchymosis for 72 h. Post-procedure pain and satisfaction levels were analysed. The Descriptive Characteristics Information Form, Visual Analogue Scale, Patient Satisfaction Form for Injection and Ecchymosis Follow-up Chart were used to collect the data. Results: The intervention group had significantly lower pain scores, compared to the control group (21.00 ± 14.46 vs. 33.00 ± 18.03). In addition, the mean injection satisfaction score of the intervention group (86.33 ± 11.29) was significantly higher than the control group (73.00 ± 17.04). In terms of ecchymosis development, higher rates of ecchymosis formation were observed in the control group, compared to the intervention group. Conclusions: The findings support that the cooled needle in subcutaneous injection has the potential to reduce pain, increase injection satisfaction and prevent the development of ecchymosis.